| Kimberly A Peters Dmd Pc | |
|
1000 Iris Dr Sw Ste A Conyers GA 30094-6622 | |
| (770) 922-1666 | |
| Not Available |
| Full Name | Kimberly A Peters Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1000 Iris Dr Sw Ste A, Conyers, Georgia |
| Authorized Official Name and Position | Kimberly Peters (PRESIDENT) |
| Authorized Official Contact | 7062943004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly A Peters Dmd Pc 1000 Iris Dr Sw Ste A Conyers GA 30094-6622 Ph: (770) 922-1666 | Kimberly A Peters Dmd Pc 1000 Iris Dr Sw Ste A Conyers GA 30094-6622 Ph: (770) 922-1666 |
| NPI Number | 1053161372 |
|---|---|
| Provider Enumeration Date | 03/27/2024 |
| Last Update Date | 03/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053161372 | NPI | - | NPPES |
| DN014630 | Other | GA | DENTAL LICENSE |
| 1194166306 | Other | GA | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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